Donna Jean Gormley, RD
Individual provider Active NPI Registered Dietitian · Stayton, OR
NPI 1295871614 · NPPES record last updated Oct 24, 2007
Key facts
- NPI
- 1295871614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 772 (OR)
- Practice address
- 1401 N 10TH Ave
Stayton, OR 97383-1311 - Phone
- (503) 769-4380
- Fax
- (503) 769-8563
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 772 | OR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 772 | OR | Yes |
Addresses
Primary practice location
1401 N 10TH Ave
Stayton, OR 97383-1311
Mailing address
1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-4380
Other providers in Stayton, OR
- Amelia Glazier
- Daniel Godinez
- Daren Lane Goin
- Ricardo Gonzalez
- Ritchie B Gooch
- Carol J Hauth
- Henry Frank Storey OD
- Joshua Andrew Hevel
- Matthew Jacob Hill
- Marlee R. Hoffman
All providers in Stayton, OR · Registered Dietitian in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.